Evidence map›Paper›PMID 35232409›Full record

ArticleBMC psychiatry2022

Measurement invariance of the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) across four European countries during the COVID-19 pandemic.

Mark Shevlin, Sarah Butter, Orla McBride, Jamie Murphy, Jilly Gibson-Miller, Todd K Hartman, Liat Levita, Liam Mason, Anton P Martinez, Ryan McKay and 17 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07745517 (EVALUATING THE EFFECTIVENESS OF COMMUNITY HEALTH NURSE-LED AND TEXT MESSAGING INTERVENTIONS TO IMPROVE BREAST CANCER SCREENING IN GHANA), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07745517 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluating the effectiveness of community health nurse-led and text messaging interventions to improve breast cancer screening in ghana: a multi-arm randomised controlled trial

TypeinterventionalSponsorUniversity of HuddersfieldRan2026 to 2027Enrolled828ConditionsBreast Cancer ScreeningArmsCommunity Health Nurse-Led Breast Cancer Screening Education, Text Messaging Breast Cancer Screening Educational Intervention, Control Arm - standard of care
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Clusters of Patient Empowerment and Mental Health Literacy Differentiate Professional Help-Seeking Attitudes in Online Mental Health Communities Users.Health expectations : an international journal of public participation in health care and health policy · 2025
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Mark ShevlinUlster University, Coleraine, Northern Ireland.
Sarah ButterDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England. s.butter@sheffield.ac.uk.
Orla McBrideUlster University, Coleraine, Northern Ireland.
Jamie MurphyUlster University, Coleraine, Northern Ireland.
Jilly Gibson-MillerDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England.
Todd K HartmanUniversity of Manchester, Manchester, England.
Liat LevitaDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England.
Liam MasonUniversity College London, London, England.
Anton P MartinezDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England.
Ryan McKayRoyal Holloway, University of London, Egham, England.
Thomas Va StocksDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England.
Kate M BennettUniversity of Liverpool, Liverpool, England.
Philip HylandMaynooth University, Maynooth, Ireland.
Frédérique VallieresTrinity College Dublin, Dublin, Ireland.
Carmen ValienteComplutense University of Madrid, Madrid, Spain.
Carmelo VazquezComplutense University of Madrid, Madrid, Spain.
Alba ContrerasComplutense University of Madrid, Madrid, Spain.
Vanesa PeinadoComplutense University of Madrid, Madrid, Spain.
Almudena TrucharteComplutense University of Madrid, Madrid, Spain.
Marco BertaminiUniversity of Liverpool, Liverpool, England.
Anna PanzeriUniversity of Padua, Padua, Italy.
Giovanni BrunoUniversity of Padua, Padua, Italy.
Umberto GranziolUniversity of Padua, Padua, Italy.
Giuseppe MignemiUniversity of Padua, Padua, Italy.
Andrea SpotoUniversity of Padua, Padua, Italy.
Giulio VidottoUniversity of Padua, Padua, Italy.
Richard P BentallDepartment of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, S1 2LT, Sheffield, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) are self-report measures of major depressive disorder and generalised anxiety disorder. The primary aim of this study was to test for differential item functioning (DIF) on the PHQ-9 and GAD-7 items based on age, sex (males and females), and country.

methodData from nationally representative surveys in UK, Ireland, Spain, and Italy (combined N = 6,054) were used to fit confirmatory factor analytic and multiple-indictor multiple-causes models.

resultsSpain and Italy had higher latent variable means than the UK and Ireland for both anxiety and depression, but there was no evidence for differential items functioning.

conclusionsThe PHQ-9 and GAD-7 scores were found to be unidimensional, reliable, and largely free of DIF in data from four large nationally representative samples of the general population in the UK, Ireland, Italy and Spain.

Indexed as

COVID-19Major Depressive DisorderAnxietyDepressionFemaleHumansMalePandemicsPatient Health QuestionnairePsychometricsSARS-CoV-2Surveys and QuestionnairesAnxietyDepressionGAD-7Measurement invariancePHQ-9

Identifiers

PMID35232409
PMCPMC8886334

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.